Organization
DOMINION OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HOWARD DO (OWNER)
(404) 423-3875
Entity
Organization
Contact information
Practice address
5615 MEMORIAL DR STE G, STONE MOUNTAIN, GA 30083-3256
(404) 299-8180
(404) 299-8147
Mailing address
5615 MEMORIAL DR STE G, STONE MOUNTAIN, GA 30083-3256
(404) 299-8180
(404) 299-8147
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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